Location: While remote, candidates will ideally be located within 50 miles of one of our Elevance Health PulsePoints.
The LTSS Service Coordinator-Auditor is responsible for auditing member individual service plans within the scope of position, as required by applicable state law and contract. The audit process does not involve clinical judgment.
How you will make an impact:
Audits program needs assessments and member's long term service and support needs to ensure that established service plans are appropriate.
Audits to determine whether members with potential clinical health care needs (including, but not limited to, potential for high risk complications) are coordinated with the clinical healthcare management and interdisciplinary team.
Audits to determine whether the non-clinical needs of members with chronic illnesses, co-morbidities, and/or disabilities, are being met to insure cost effective and efficient utilization of long term services and supports.
Audits the short and long term service and support goals that were established for the member and ensures the level of service and/or waiver programs are appropriate.
Documents audit findings, identifies issues and informs management.
Assesses and identifies training opportunities for the staff.
Minimum Requirements:
Requires BA/BS degree and a minimum of 2 years experience working with a social work agency ton include a minimum of 2 years LTSS service coordinator experience; or any combination of education and experience which would provide an equivalent background.
Preferred skills, experiences, and capabilities:
BA/BS degree field of study in health care related field preferred.
Specific education and years and type of experience may be required based upon state law and contract requirements preferred.
Travels to worksite and other locations as necessary preferred.
For candidates working in person or remotely in the below locations, the salary* range for this specific position is $28.08/hr - $40.10/hr.
Location: California, New York
In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the company. The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.
* The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.
